Schrader, John O
Schrader, John O is an individual health care provider with primary practice located at 707 S Monroe St , Enid OK 73701-7286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Schrader, John O can be contacted via phone (580) 616-7630.Contact Information
Primary practice address
707 S Monroe St
Enid OK 73701-7286
Phone: (580) 616-7630
Fax: (580) 237-7516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 26379 | Oklahoma |
Profile Details
| NPI number | 1710105077 |
|---|---|
| LBN Legal business name | Schrader, John O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 12th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710105077 | NPPES |
| Oklahoma | MEDICAID | 200198690A |
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